Breastfeeding and Infant birth Injury, Congenital Anomolies, and Illness Flashcards

1
Q

Why are postmature infants at risk of poor feeding?

A
  • Aging placenta, increasing risk of hypoxia and low tolerance for birth stress
  • Increased risk of MEC aspiration
  • Decreased amniotic fluid increases risk of cord compression
  • may become LGA and have increased risk for shoulder dystocia
  • reduced glycogen stores in the liver increases risk of hypoglycemia
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2
Q

Birth trauma effects on breastfeeding

A

Forceps:
- can cause neurologic injuries
- trauma to facial nerves can occur and impact latching or sucking
failure can result in shoulder dystocia and brachial plexus injury (interfere with stabilization and breast shaping with hands)
Vacuum:
- increase risk of cranial hemorrhage (all types)

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3
Q

Can babies with Hypoxic brain injury benefit from breastmilk?

A

yes. colostrum is very important for these babies as the gut has suffered hypoxic damage. Recovery of ability to feed orally may take weeks to months and require intensive support.

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4
Q

Can babies with PKU breastfeed?

A

Yes, if combined in calculated volumes with a phenyl-aline free formula, reassessed weekly.

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5
Q

A good breastfeeding position for infants with Down Syndrome (or low tone for other reasons)

A

DanCer hold

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6
Q

Infant conditions that may require modification/careful attention to breastfeeding

A

CF, Down syndrome, Esophageal atresia, tracheoesophageal fistula, GERD, pyloric stenosis, congenital heart defects, respiratory disorders (laryngomalacia, tracheomalacia, laryngeal webs, laryngeal clefts, vocal cord paralysis, velopharyngeal insufficiency)

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7
Q

acute illness which is a common cause of breastfeeding strike

A

otitis media

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